Modification of combined spinal-epidural analgesia in labor


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Resumo

The review considers the capabilities and technical features of the neuraxial technique of epidural analgesia with dural puncture epidural (DPE) for labor pain relief. Technically, DPE is a modification of combined spinal-epidural analgesia, in which the dura mater is punctured without subsequent intrathecal administration of a drug. At the moment, the published results of studies do not reveal that DPE has a clear advantage over epidural analgesia. At the same time, some studies show a faster onset of analgesia, a pronounced sacral block, and a decrease in the frequency of an asymmetric block with DPE. One study demonstrates that DPE has a more common side effect as paresthesia. It is difficult to interpret the data of comparative studies due to the lack of a clear protocol for this technique. In the authors’ opinion, improving the protocol for the DPE technique will be able to better identify its advantages and disadvantages.

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Sobre autores

Sergey Pismensky

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology Ministry of Health of Russia

Email: smsu@mail.ru
doctor of the Department of Anaesthesiology and Resuscitation, assistant of the Department of Anesthesiology and Resuscitation 117997, Russia, Moscow, Ac. Oparina str. 4

Aleksey Pyregov

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology Ministry of Health of Russia

Email: a_pyregov@oparina4.ru
MD, associate professor, head of the Department of Anesthesiology and Resuscitation 117997, Russia, Moscow, Ac. Oparina str. 4

Oleg Baev

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology Ministry of Health of Russia

Email: metod_obsgyn@hotmail.com
MD, professor, head of the first Maternity Department 117997, Russia, Moscow, Ac. Oparina str. 4

Oleg Tysyachnyi

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology Ministry of Health of Russia

Email: olti23@mail.ru
PhD., junior scientific researcher of the first maternity departments 117997, Russia, Moscow, Ac. Oparina str. 4

Yulia Perevarova

N.I. Pirogov Russian National Research Medical University

Email: perevarova.y@gmail.com
resident 117997, Russia, Moscow, Ostrovityanova str. 1

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